Classifying nursing errors in clinical management within an Australian hospital

International Nursing Review

Volumn 57, Issue 4, 2010, Pages 454-462

  Tran, D T ^a   Johnson, M ^a  

^a UNIVERSITY OF WESTERN SYDNEY   (Australia)

Author keywords

'Near Miss'; Australia; Classification; Clinical Management; Consequence; Contributing Factor; Nursing Error; Patient Safety; Taxonomy

Indexed keywords

ARTICLE; AUSTRALIA; CLASSIFICATION; CLINICAL COMPETENCE; HUMAN; MEDICAL ERROR; NURSING PROCESS; NURSING STAFF; RISK FACTOR; RISK MANAGEMENT; SAFETY;

AUSTRALIA; CLINICAL COMPETENCE; HUMANS; MEDICAL ERRORS; NURSING PROCESS; NURSING STAFF, HOSPITAL; RISK FACTORS; RISK MANAGEMENT; SAFETY MANAGEMENT;

EID: 78149353409     PISSN: 00208132     EISSN: 14667657     Source Type: Journal    
DOI: 10.1111/j.1466-7657.2010.00846.x     Document Type: Article

References (41)

1. American Society for Healthcare Risk Management (2008) Tackling patient safety taxonomy: A must for risk managers. Available at: (accessed 23 June 2010).
2. Anoosheh, M., Ahmadi, F., Faghihzadeh, S. & Vaismoradi, M. (2008) Causes and management of nursing practice errors: a questionnaire survey of hospital nurses in Iran. International Nursing Review, 55 (3), 288-295.
3. Australian Nursing and Midwifery Council (2006) National competency standards for registered nurse. Available at: (accessed 23 June 2010).
4. Avery, A.J. (2003) Classifying and identifying errors. Quality & Safety in Health Care, 12 (6), 404.
5. Baker, G.R., et al. (2004) The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada. Canadian Medical Association Journal, 170 (11), 1678-1686.
6. Barach, P. & Small, S.D. (2000) Reporting and preventing medical mishaps: lessons from non-medical near miss reporting systems. British Medical Journal (Clinical Research Ed.), 320 (7237), 759-763.
7. Bazeley, P. (2006) The contribution of computer software to integrating qualitative and quantitative data and analyses. Research in the Schools, 13 (1), 64-74.
8. Benner, P., et al. (2002) Individual, practice, and system causes of errors in nursing: A taxonomy. The Journal of Nursing Administration, 32 (10), 509-523.
9. Braithwaite, J., Westbrook, M. & Travaglia, J. (2008) Attitudes toward the large-scale implementation of an incident reporting system. International Journal for Quality in Health Care, 20 (3), 184-191.
10. Brixey, J., Johnson, T.R. & Zhang, J. (2002) Evaluating a medical error taxonomy. Proceedings of the American Medical Informatics Association Symposium, 71-75.
11. Burns, N. & Grove, S.K. (2009) The Practice of Nursing Research: Appraisal, Synthesis and Generation of Evidence, 6th edn Saunders Elsevier, pp.528 St Louis MO.
12. Chang, A., et al. (2005) The JCAHO patient safety event taxonomy: a standardized terminology and classification schema for near misses and adverse events. International Journal for Quality in Health Care, 17 (2), 95-105.
13. Considine, J. (2005) The role of nurses in preventing adverse events related to respiratory dysfunction: literature review. Journal of Advanced Nursing, 49 (6), 624-633.
14. Deans, C. (2005) Medication errors and professional practice of registered nurses. Collegian, 12 (1), 29-33.
15. Diane, J.A. & Linda, G. (2005) Closed claims analysis of 65 medical malpractice cases involving nurse-midwives. Journal of Midwifery & Women's Health, 50 (6), 454-460.
16. Dovey, S.M., et al. (2002) A preliminary taxonomy of medical errors in family practice. Quality & Safety in Health Care, 11 (3), 233-238.
17. Elo, S. & Kyngas, H. (2008) The qualitative content analysis process. Journal of Advanced Nursing, 62 (1), 107-115.
18. Graneheim, U.H. & Lundman, B. (2004) Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Education Today, 24 (2), 105-112.
19. Hindle, D., Braithwaite, J. & Iedema, R. (2005) Patient Safety Research: A Review of the Technical Literature. Centre for Clinical Governance Research, University of New South Wales, Sydney.
20. Hughes, R.G. (2008) Chapter 2. Nurses at the 'Sharp End' of patient care. In Patient Safety and Quality: An Evidence-Based Handbook for Nurses Vol 1. (Prepared with Support from the Robert Wood Johnson Foundation (Hughes, R., ed.). Agency for Healthcare Research and Quality, Rockville, MD, pp. 1-30.
21. International Council of Nurses (2002) Position statement: 2002 patient safety. Available at: (accessed 2 June 2010).
22. Jefferies, D., Johnson, M. & Griffiths, R. (2010) A metastudy of the essentials of quality nursing documentation. International Journal of Nursing Practice, 16 (2), 112-124.
23. Johnson, M. & Young, H. (2010) The application of Aronson's taxonomy to medication errors in nursing. Journal of Nursing Care Quality, doi: 10.1097/NCQ.0b013e3181f54b14 [Epub ahead of print].
24. Johnstone, M.J. & Kanitsaki, O. (2006) The ethics and practical importance of defining, distinguishing and disclosing nursing errors: A discussion paper. International Journal of Nursing Studies, 43 (3), 367-376.
25. Joint Commission on Accreditation of Healthcare Organisations (JACHO) (2000) Lessons Learned: Sentinel event trends in wrong-site surgery. Joint Commission Perspectives, 20 (1), 14.
26. Leape, L.L. (1994) Error in medicine. Journal of the American Medical Association, 272 (23), 1851-1857.
27. Liu, Y., et al. (2009) Nursing-related patient safety events in hospitals. Journal of Huazhong University of Science and Technology, 29 (2), 265-268.
28. Makeham, M.A., Dovey, S.M., County, M. & Kidd, M.R. (2002) An international taxonomy for errors in general practice: a pilot study. The Medical Journal of Australia, 177 (2), 68-72.
29. Neale, G. & Woloshynowych, M. (2003) Retrospective case record review: a blunt instrument that needs sharpening. Quality & Safety in Health Care, 12 (1), 2-3.
30. New South Wales Department of Health (2007) Policy Directive: Open Disclosure Document Number PD2007-040. New South Wales Department of Health, Sydney.
31. New South Wales Department of Health and the Clinical Excellence Commission (2009) Incident Management in the NSW Public Health System 2008: January to June Sydney, New South Wales Department of Health.
32. Patient Safety International (2010) iSOFT Incident Management (AIMS) Providing Actionable Insights for Quality Improvement. Available at: (accessed 23 June 2010).
33. Pittet, D. & Donaldson, L. (2006) Challenging the world: patient safety and health care-associated infection. International Journal for Quality in Health Care, 18 (1), 4-8.
34. Richardson, A. & Storr, J. (2010) Patient safety: a literative review on the impact of nursing empowerment, leadership and collaboration. International Nursing Review, 57 (1), 12-21.
35. Rubin, G., George, A., Chinn, D.J. & Richardson, C. (2003) Errors in general practice: development of an error classification and pilot study of a method for detecting errors. Quality & Safety in Health Care, 12 (6), 443-447.
36. Thomas, L. (2007) Evidence-based guidelines. The Evidence-Based Practice Manual for Nurses, 2nd edn (Craig, J.V. & Smyth, R.L., eds). Elsevier, Edinburgh, pp. 237-266.
37. Tran, D.T., Johnson, M., Fernandez, R. & Jones, S. (2010) A shared care model vs. a patient allocation model of nursing care delivery: Comparing nursing staff satisfaction and stress outcomes. International Journal of Nursing Practice, 16 (2), 148-158.
38. Verklan, M.T. (2004) Malpractice and the neonatal intensive-care nurse. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 33 (1), 116-123.
39. Webster, C.S. & Anderson, D.J. (2002) A practical guide to the implementation of an effective incident reporting scheme to reduce medication error on the hospital ward. International Journal of Nursing Practice, 8 (4), 176-183.
40. World Health Organisation (2009) The Conceptual Framework for the International Classification for Patient Safety (Version 1.1). Geneva, World Health Organisation, Available at: (accessed 23 June 2010).
41. Yamagishi, M., Kanda, K. & Takemura, Y. (2003) Methods developed to elucidate nursing related adverse events in Japan. Journal of Nursing Management, 11 (3), 168-176.